The Effectiveness and Safety in the Treatment of Circumferential Pulmonary Vein Isolation (CPVI) for Symptomatic Paroxysmal Atrial Fibrillation With THERMOCOOL® SMARTTOUCH™ Catheter in China, A Multi-center Clinical Registry Study
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Atrial Fibrillation
- Sponsor
- Biosense Webster, Inc.
- Enrollment
- 200
- Primary Endpoint
- Percentage of Patients With Freedom From Documented Symptomatic Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atrial Flutter (AFL) Episodes
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This is a prospective effectiveness and safety assessment of the study device during radiofrequency (RF) ablation treatment of patients with drug refractory symptomatic atrial fibrillation.
Detailed Description
The purpose of this study is to assess the effectiveness and safety of the THERMOCOOL® SMARTTOUCH™ catheter in the treatment of drug refractory symptomatic paroxysmal atrial fibrillation (PAF) undergoing CPVI.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18 years or older
- •Failure of at least one antiarrhythmic drug (AAD) for AF (class I or III, or AV nodal blocking agents such as beta blockers and calcium channel blockers) as evidenced by recurrent symptomatic AF, or intolerance to the AAD
- •Patients with paroxysmal AF eligible for catheter ablation
- •Patients with symptomatic PAF who have had at least one documented AF episode in the twelve (12) months prior to enrollment. Documentation may include but is not limited to electrocardiogram (ECG), Holter monitor (HM) or transtelephonic monitor (TTM)
- •Able and willing to comply with all pre-, post- and follow-up testing and requirements
- •Be able to sign IRB/EC-approved informed consent form
Exclusion Criteria
- •AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause
- •Previous surgical or catheter ablation for AF
- •Any PCI, cardiac surgery, or valvular cardiac surgical or percutaneous procedure (e.g., ventriculotomy, atriotomy, and valve repart or replacement and presence of a prosthetic valve) within the past 2 months.
- •Any carotid stenting or endarterectomy.
- •Coronary artery bypass graft (CABG) procedure within the last 180 days (6 months)
- •AF episodes lasting longer than 7 days or terminated via cardioversion
- •Documented left atrial thrombus on imaging
- •Uncontrolled heart Failure or New York Heart Association (NYHA) class III or IV
- •Myocardial Infarction within the previous 60 days (2 months)
- •Documented thromboembolic event (including TIA) within the past 12 months
Outcomes
Primary Outcomes
Percentage of Patients With Freedom From Documented Symptomatic Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atrial Flutter (AFL) Episodes
Time Frame: 12 Months
The primary effectiveness endpoint for this study is freedom from documented symptomatic atrial fibrillation (AF), atrial tachycardia (AT), or atrial flutter (AFL) episodes through 12-month follow-up after the index ablation procedure (includes a three-month blanking period).
Secondary Outcomes
- Percentage of Patients Where Acute Success Was Achieved(0.5 hours)
- Average Contact Force Per Pulmonary Vein Ablation Procedure(1 day during procedure)
- Percent of Subjects With Pulmonary Vein Reconnection for the Index Procedure(1 day during procedure)
- Procedure Time, Ablation Time and Fluoroscopy Time(1 day during procedure)